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  • Title: An approach to the failed cricoid split operation.
    Author: Ochi JW, Seid AB, Pransky SM.
    Journal: Int J Pediatr Otorhinolaryngol; 1987 Dec; 14(2-3):229-34. PubMed ID: 3436726.
    Abstract:
    The cricoid split operation is a well established treatment for subglottic stenosis; the success rate for this procedure is approximately 77%. The management of patients who fail this operation has traditionally involved tracheostomy followed by delayed laryngotracheoplasty. We have treated 22 patients using the cricoid split--6 required subsequent tracheostomy. Two-thirds of the patients with a tracheostomy have been unable to be decannulated, even after laryngotracheoplasty. In contrast, 3 patients had repeat cricoid split operations instead of tracheostomy. All 3 of these children have had no further problems with their airway. The authors propose that in patients who fail the cricoid split operation one consider repeating the procedure instead of performing a tracheostomy.
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